Provider Demographics
NPI:1538314836
Name:TRANSITIONS FOR LIFE
Entity type:Organization
Organization Name:TRANSITIONS FOR LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAYLEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DICK
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS DEGREE
Authorized Official - Phone:785-364-0115
Mailing Address - Street 1:826 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HOLTON
Mailing Address - State:KS
Mailing Address - Zip Code:66436-2042
Mailing Address - Country:US
Mailing Address - Phone:785-364-0115
Mailing Address - Fax:
Practice Address - Street 1:826 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:HOLTON
Practice Address - State:KS
Practice Address - Zip Code:66436-2042
Practice Address - Country:US
Practice Address - Phone:785-364-0115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management